Sch 7BForm of application for exemption from consent

Schedule 7B—Form of application for exemption from consent

Section 123A(3) of the Heritage Act 2017

Regulation 21A

1. Location of site or archaeological artefact

*Heritage Inventory number:

Name of site recorded in the Heritage Inventory:

*Name of *body corporate/*organisation:

Owner or government asset manager

If the applicant is not the owner or the government asset manager (or acting on behalf of the owner or government asset manager), details of the owner or government asset manager of the site or archaeological artefact:

3. Cultural heritage management plan

A Cultural Heritage Management
Plan (CHMP) is a requirement of the Aboriginal Heritage Act 2006. It includes results of an assessment of the potential impact of a proposed activity on Aboriginal cultural heritage. It outlines measures to be taken before, during and after an activity in order to manage and protect Aboriginal cultural heritage in the activity area.

Is a CHMP required under the Aboriginal Heritage Act 2006 in relation to carrying out the proposed works or activities? *Yes/*No

Note: You can submit your application now and provide the approved CHMP later; however, a decision on your application cannot be made until you provide a copy of the CHMP. In accordance with section 52(3) of the Aboriginal Heritage Act 2006, a determination that a consent for works or activities is not required under Part 6 of the Heritage Act 2017 cannot be made if the works or activities are inconsistent with an approved CHMP.

*Approved—If the CHMP is approved, are any of the proposed works or activities inconsistent with the requirements of the approved CHMP? *Yes/*No

Please provide a statement describing how the proposed works or activities are consistent/inconsistent with the approved CHMP.

Please provide a statement describing how the proposed works or activities are consistent/inconsistent with any previously approved CHMP.

4. Proposed works or activities in relation to site or archaeological artefact

Please provide a detailed description of the proposed works or activities:

Reason and purpose for the works or activities

Please state the reason and purpose for which the proposed works or activities are required:

Impact on heritage

Please state the impact of the proposed works or activities and why the impact will not harm the archaeological features, deposits or archaeological artefacts within the site: